Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $31.26 / $83.49	Facility		$31.26	$31.26	$83.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $39.95 / $45.12	Professional		$31.26	$39.95	$45.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $51.23 / $83.19	Facility		$35.25	$51.23	$83.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $54.80 / $63.61	Professional		$41.10	$54.80	$63.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $68.15 / $101.01	Facility		$47.00	$68.15	$101.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $103.40 / $145.25	Facility		$61.10	$103.40	$145.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.91 / $264.91 / $264.91	Professional		$264.91	$264.91	$264.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $74.16 / $367.15	Professional		$42.30	$74.16	$367.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $65.80 / $86.95	Professional		$56.87	$65.80	$86.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.20 / $82.27	Professional		$19.73	$28.20	$82.27